Advance Your Career: Health Insurance Specialist at CMS
The Centers for Medicare & Medicaid Services (CMS) is the heartbeat of America's healthcare infrastructure. We are currently looking for a talented and strategic Health Insurance Specialist to join the Center for Program Integrity (CPI). If you are passionate about protecting federal healthcare programs and possess the expertise to guide high-level policy, this role offers a rare opportunity to leave a lasting mark.
Job Responsibilities
In this GS-14 role, your work will be broad and impactful. You will:
- Advise the Director and Deputy Directors on high-stakes policy issues.
- Coordinate cross-agency projects with Congressional offices and healthcare leaders.
- Analyze complex program data to identify vulnerabilities.
- Draft executive-level briefing papers and policy recommendations.
Requirements
To be considered, candidates must:
- Have one year of specialized experience equivalent to the GS-13 level.
- Be a U.S. citizen.
- Submit a resume of no more than two pages.
- Demonstrate proficiency in healthcare policy and program integrity.
Comparison: GS-13 vs. GS-14 Responsibilities
| Feature | GS-13 Level | GS-14 Level (This Role) |
|---|---|---|
| Scope | Project-based execution | Strategic advisory & high-level coordination |
| Stakeholder Engagement | Internal agency focus | Inter-agency & Congressional focus |
| Policy Development | Implementation support | Policy formulation & recommendation |
Salary Overview
This position offers a competitive salary range of $143,913 to $187,093 per year, commensurate with federal pay scales and experience.
Benefits
Employees of CMS enjoy a comprehensive federal benefits package, including:
- Robust health and life insurance options.
- Civil Service Retirement System (CSRS/FERS).
- Thrift Savings Plan (401k equivalent).
- Paid vacation and sick leave.
- Flexible work environments to support work-life balance.
Application Tips
- Focus on the Resume: Keep it to exactly two pages or less. Use the USAJOBS builder.
- Be Specific: Include start/end dates and hours per week for all previous roles.
- Prepare for Assessments: Don't wait until the last minute; you will need to set aside time for the USA Hire assessments.
Frequently Asked Questions (FAQ)
- Is this a remote role? No, it requires a recurring presence at our Woodlawn, MD office.
- What if I need a disability accommodation? You may request reasonable accommodations during the application process.
This is an exceptional chance to apply your analytical skills to national healthcare challenges. Apply by November 4th, 2026, to ensure you are part of this vital mission.
Why This Health Insurance Specialist Job Matters
Shape the future of healthcare integrity at the Centers for Medicare & Medicaid Services as a senior advisor protecting vital federal programs.
Health Insurance Specialist Job Overview
The Centers for Medicare & Medicaid Services (CMS) is seeking a dedicated Health Insurance Specialist to join the Center for Program Integrity (CPI) in Woodlawn, Maryland. In this pivotal GS-14 role, you will act as a key advisor to leadership, providing high-level technical guidance and managing projects critical to the oversight of Medicare and Medicaid policies. This position offers a unique opportunity to influence national healthcare policy and play a direct role in combating fraud, waste, and abuse within the nation's largest healthcare programs.
Requirements for Health Insurance Specialist
- Must be a U.S. citizen.
- Must have one year of specialized experience at the GS-13 level or equivalent.
- Experience coordinating Medicare or Medicaid program integrity initiatives.
- Proven ability to analyze complex healthcare laws, regulations, and program data.
- Demonstrated skill in drafting high-level executive briefings and policy papers.
- Current Federal employees must meet Time-in-Grade requirements.
- Resume must not exceed two pages.
Preferred Qualifications for Health Insurance Specialist
- Advanced knowledge of healthcare policy and program integrity operations.
- Strong verbal and written communication skills for interacting with Congressional and federal officials.
- Proven leadership experience in cross-functional team environments.
- Ability to identify vulnerabilities and risks in large-scale federal programs.
Federal Benefits & Perks
- ✓Competitive Federal salary schedule.
- ✓Health and Life insurance programs.
- ✓Retirement benefits including pension and 401(k)-style Thrift Savings Plan.
- ✓Flexible work arrangements and alternative schedules.
- ✓Paid vacation, sick leave, and federal holidays.
- ✓Opportunities for professional development and career advancement.
💡 How to Apply Health Insurance Specialist Job & Insider Tips
Application Steps for Health Insurance Specialist Job
- Prepare a resume that does not exceed two pages, clearly detailing relevant experience and dates.
- Log in to your USAJOBS account to complete the online questionnaire.
- Submit the application package, including transcripts and necessary SF-50 documentation, before the deadline.
- Monitor your email for a notification to complete the required online USA Hire assessments.
- Complete the online assessments within the stipulated 48-hour window upon receipt of the access link.
💡 General Tips
- Utilize the USAJOBS resume builder to ensure all required fields are included correctly.
- Be specific with dates (MM/YYYY) and hours worked to avoid ineligible ratings.
- Review your application thoroughly for accuracy before submitting as no changes can be made after the closing date.
- Dedicate at least 3 hours for the online assessments, though many complete them sooner.
- Ensure your resume explicitly maps your experience to the duties listed in the job announcement.
Frequently Asked Questions
What is the resume length requirement?
Per federal guidelines as of September 2025, all resumes must be two pages or less.
Are there mandatory assessments?
Yes, candidates must complete the USA Hire Competency-Based Assessments after their application is submitted.
Can I work remotely?
This position requires regular, recurring attendance at the Woodlawn office, though flexible work arrangements and alternative schedules may be available at the manager's discretion.
Job from Centers For Medicare & Medicaid Services
The Department of Health & Human Services (HHS) and CMS work tirelessly to ensure the quality and efficiency of the healthcare system. The Center for Program Integrity (CPI) specifically focuses on identifying and mitigating fraud, waste, and abuse in Medicare and Medicaid. By joining our team, you become part of a mission-driven organization that values innovation, integrity, and public service.